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.~~. <br />Chaffee County Planning Department <br />104 Crestone Avenue <br />Salida, Colorado 812A <br />(719) 539-2218 <br />APPLICATION FOR <br />SPECIAL LAND USE PERMIT <br />^ Commercial /Industrial ^ Residential <br />Application Fee $320.00 Application Filing Deadline is the Last Monday of each Month <br />GENERAL INFORMATION <br />REQUESTED USE Ma gal P sling <br />PROPERTY ADDRESS OR GENERAL LOCATION Section 27. Townshiu 14s, Ranee78 w <br />NAME OF APPLICANT V. a tl Mol z /ACA Prndt trts Tnr _ (1~ aratnr <br />MAILING ADDRESS P.O.Box -1887 Buena Vista. Co 81211 <br />TELEPHONE 779-395-3790 FAX 719-'195-4794 <br />TOTAL ACREAGE Permitted 9.9 <br />PROPOSED WATER SUPPLY N/A PROPOSED SEWAGE SYSTEM N/A <br />EXISTING USE OF PROPERTY Pastrtrel and <br />EXISTING ZONING Rural PARCEL # 119 . <br />LEGAL DESCRIPTION Attached <br />OWNERSHIP INFORMATION <br />Please list the names of all persons and companies.who hold an interest in the described property (land <br />owner, lessee, etc.) Application will not be accepted without the required signa res or letter of <br />authorization from each. Attach additional sheets as necessary. - 7 ,~ ~~,~ 1 <br />NAME V. Pahl Mal t~ SIGNATURE <br />INTEREST IN PROPERTY <br />ADDRESS P_(1_ Rnx 1887 v <br />ADDRESS <br />TELEPHONE 719-395-3790 FAX 719-395-3794 <br />STAFF USE ONLY <br />received by Date <br />Oon Conference Date Hearing Date <br />Check # Case # - <br />